Baile W F, Engel B T
Psychosom Med. 1978 Aug;40(5):413-9. doi: 10.1097/00006842-197808000-00005.
Seven men who had recently experienced a myocardial infarction were treated for medical noncompliance. Patient selection was based on recent and past noncompliant behaviors, denial of infarct, and degree of job involvement. Treatment strategy included (1) self-planning of a rehabilitation program by the patient (activity hierarchy), (2) self-monitoring of bio-behavioral data, (3) weekly visits to review data and decide on new activities. Results showed that all patients were highly compliant as determined by several criteria. The technique is relatively easy to apply and it seems to have wide appeal to patients who might otherwise be at high risk for self-injurious behavior.
七名近期经历过心肌梗死的男性因医疗不依从行为接受了治疗。患者的选择基于近期和过去的不依从行为、对梗死的否认以及工作参与程度。治疗策略包括：（1）患者自行制定康复计划（活动层次），（2）自我监测生物行为数据，（3）每周复诊以审查数据并决定新的活动。结果显示，根据多项标准判断，所有患者的依从性都很高。该技术相对易于应用，似乎对那些可能有自我伤害行为高风险的患者具有广泛吸引力。
